Office Policies




We value all of our patient's time!   Minimizing wait time is a priority for our practice but is difficult if we are forced to accommodate late patients.  If you are more than 15 minutes late for your  appointment time, you will need to reschedule and your visit will be counted as a missed appointment.




We kindly ask that patients give us 24-hour notice for appointment cancellations.  Failure to do so will result in a cancellation fee billed to your account.  This allows us time to reschedule other patients in need of urgent appointments.

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After Hours Calling:

Please be mindful that the main office number goes straight to my personal cellphone for ermergencies.  The ideal time for questions or concerns is during office hours.  If it is a medical emergency please call 911.  Please do not call after hours for prescription refills or to schedule an appointment.  You may contact us electronically at any time using the Spruce app. Click on the green button on the bottom right hand corner of the webpage that says “Get in Touch”.





Prescription Refills:

Please call your pharmacy first to determine if they can dispense a refill without our authorization.  Otherwise, refill requests can be made electronically here.  If it has been more than 12 months since your last visit and would like a refill, you must schedule a follow-up visit.